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NurseDive Free Nursing Practice Question
A nurse is caring for a client who has an intrauterine device (IUD) in place and reports lower abdominal pain and fever for 2 days.
Which of the following actions should the nurse take?
A. Instruct the client to take ibuprofen for pain relief
Ibuprofen may not be enough to relieve the pain and may mask the signs of infection.
B. Advise the client to avoid sexual intercourse until symptoms resolve
Avoiding sexual intercourse will not treat the underlying cause of the symptoms and may delay seeking medical help.
C. Obtain a urine specimen for culture and sensitivity
A urine specimen may not be sufficient to diagnose the problem and may miss other possible causes of lower abdominal pain and fever, such as ectopic pregnancy or appendicitis.
D. Refer the client to a provider for evaluation
Lower abdominal pain and fever for 2 days can indicate a serious complication of IUD use, such as pelvic inflammatory disease (PID) or perforation of the uterus. These conditions require prompt medical attention and possible removal of the IUD.
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Full Explanation
The correct answer is choice D. Refer the client to a provider for evaluation. Lower abdominal pain and fever for 2 days can indicate a serious complication of IUD use, such as pelvic inflammatory disease (PID) or perforation of the uterus.
These conditions require prompt medical attention and possible removal of the IUD.
Choice A is wrong because ibuprofen may not be enough to relieve the pain and may mask the signs of infection.
Choice B is wrong because avoiding sexual intercourse will not treat the underlying cause of the symptoms and may delay seeking medical help.
Choice C is wrong because a urine specimen may not be sufficient to diagnose the problem and may miss other possible causes of lower abdominal pain and fever, such as ectopic pregnancy or appendicitis.
Similar Questions
A nurse is reinforcing teaching with a client who has an intrauterine device (IUD) in place and asks how it prevents pregnancy.
Which of the following responses should the nurse make?
A. “It releases hormones that thicken cervical mucus and prevent ovulation.”.
B. “It creates a local inflammatory response that impairs implantation.”.
This means that the IUD makes the lining of the uterus less suitable for a fertilized egg to attach to it.
C. “It alters tubal motility and interferes with sperm transport.”.
It describes how tubal ligation works, not IUDs.Tubal ligation is a surgical procedure that blocks or cuts the fallopian tubes, which prevents sperm from reaching an egg.
D. All of the above
It implies that all of the above choices are correct, which they are not.
Full Explanation
The correct answer is choice B. It creates a local inflammatory response that impairs implantation. This means that the IUD makes the lining of the uterus less suitable for a fertilized egg to attach to it.
Choice A is wrong because it describes how hormonal IUDs work, not copper IUDs. Hormonal IUDs release hormones that thicken cervical mucus and prevent ovulation.
Choice C is wrong because it describes how tubal ligation works, not IUDs. Tubal ligation is a surgical procedure that blocks or cuts the fallopian tubes, which prevents sperm from reaching an egg.
Choice D is wrong because it implies that all of the above choices are correct, which they are not.
Only choice B is correct for copper IUDs.
A nurse is caring for a client who has an intrauterine device (IUD) in place and reports missing her menstrual period this month.
Which of the following actions should the nurse take first?
A. Perform a pregnancy test
An IUD is a form of birth control that is inserted into the uterus to prevent pregnancy, but it is not 100% effective.If a client with an IUD misses a menstrual period, the first action the nurse should take is to rule out pregnancy by performing a pregnancy test.This is because pregnancy with an IUD can have serious complications, such as ectopic pregnancy, infection, miscarriage or preterm labor
B. Palpate for uterine enlargement
Palpating for uterine enlargement is not a reliable way to diagnose pregnancy, especially in the early stages.It can also cause discomfort or bleeding for the client.
C. Assess for signs of ectopic pregnancy
Assessing for signs of ectopic pregnancy is not the first action the nurse should take. Ectopic pregnancy is a possible complication of pregnancy with an IUD, but it is not very common.The nurse should first confirm if the client is pregnant before looking for signs of ectopic pregnancy, such as abdominal pain, vaginal bleeding or shoulder pain.
D. Instruct the client to remove the IUD
Instructing the client to remove the IUD is not appropriate or safe. The client should not attempt to remove the IUD by themselves, as this can cause injury or infection.The nurse should refer the client to an OB-GYN if they are pregnant with an IUD or if they want to remove the IUD for any reason.
Full Explanation
The correct answer is choice A. Perform a pregnancy test. An IUD is a form of birth control that is inserted into the uterus to prevent pregnancy, but it is not 100% effective. If a client with an IUD misses a menstrual period, the first action the nurse should take is to rule out pregnancy by performing a pregnancy test. This is because pregnancy with an IUD can have serious complications, such as ectopic pregnancy, infection, miscarriage or preterm labor.
Choice B is wrong because palpating for uterine enlargement is not a reliable way to diagnose pregnancy, especially in the early stages. It can also cause discomfort or bleeding for the client.
Choice C is wrong because assessing for signs of ectopic pregnancy is not the first action the nurse should take.
Ectopic pregnancy is a possible complication of pregnancy with an IUD, but it is not very common. The nurse should first confirm if the client is pregnant before looking for signs of ectopic pregnancy, such as abdominal pain, vaginal bleeding or shoulder pain.
Choice D is wrong because instructing the client to remove the IUD is not appropriate or safe.
The client should not attempt to remove the IUD by themselves, as this can cause injury or infection. The nurse should refer the client to an OB-GYN if they are pregnant with an IUD or if they want to remove the IUD for any reason.
A nurse is reinforcing teaching with a client who wants to use an intrauterine device (IUD) for contraception but has concerns about its safety and effectiveness.
Which of the following information should the nurse include in the teaching?
A. The typical failure rate for IUDs is 1% to 3% per year
It only states one piece of information that the nurse should include in the teaching.
B. The risk of pelvic inflammatory disease (PID) is highest in the first 6 weeks after insertion
It only states one piece of information that the nurse should include in the teaching.
C. The IUD can be inserted at any time during the menstrual cycle
It only states one piece of information that the nurse should include in the teaching
D. All of the above
The nurse should include all of the following information in the teaching: The typical failure rate for IUDs is 1% to 3% per year. This means that out of 100 women who use an IUD for a year, one to three may get pregnant. The risk of pelvic inflammatory disease (PID) is highest in the first 6 weeks after insertion. PID is an infection of the reproductive organs that can cause infertility, chronic pain, or ectopic pregnancy. The risk of PID is higher if the woman or her partner has multiple sexual partners or a sexually transmitted infection (STI). The IUD can be inserted at any time during the menstrual cycle. However, some doctors may prefer to insert it during or right after the period, when the cervix is more open and the chance of pregnancy is lower.
Full Explanation
The nurse should include all of the following information in the teaching:
- The typical failure rate for IUDs is 1% to 3% per year.
- This means that out of 100 women who use an IUD for a year, one to three may get pregnant.
- The risk of pelvic inflammatory disease (PID) is highest in the first 6 weeks after insertion.
- PID is an infection of the reproductive organs that can cause infertility, chronic pain, or ectopic pregnancy.
- The risk of PID is higher if the woman or her partner has multiple sexual partners or a sexually transmitted infection (STI).
- The IUD can be inserted at any time during the menstrual cycle.
- However, some doctors may prefer to insert it during or right after the period, when the cervix is more open and the chance of pregnancy is lower.
Choice A is wrong because it only states one piece of information that the nurse should include in the teaching.
Choice B is wrong because it only states one piece of information that the nurse should include in the teaching.
Choice C is wrong because it only states one piece of information that the nurse should include in the teaching